新时期特勤疗养口腔卫勤保障的效果评价

Evaluation of dental medical support during special service recuperation under new situation

目的评价特勤疗养口腔保障转型发展在官兵口腔健康促进方面的作用,为完善我军口腔卫勤体系提供参考依据。方法回顾性分析2019年1~12月青岛某特勤疗养中心的特勤官兵口腔体检结果和治疗登记。根据保障模式将体检结果和治疗登记分为传统保障组(T组)、疗养路径组(P组)和口腔分级保障组(C组)。参考美军的口腔健康分级标准,比较各组间就诊率及出入院时各口腔健康等级人员比例。结果C组和P组的就诊率分别为40.54%和43.43%,均显著高于T组(18.72%)(P<0.05)。入院时C组C1级人员为9.97%,C2级人员38.03%,C3级人员52.00%,3组间各等级人员比例均无显著性差异(P>0.05)。出院时C组C3级人员为38.81%,显著低于高于T组(47.92%)和P组(45.87%)(P<0.05),T组和P组间无统计学差异(P>0.05)。结论相较于传统保障模式,疗养路径可以有效提高特勤官兵在疗养期间的口腔疾病就诊率,在此基础上,施行口腔健康分级保障可以进一步针对性减少出院时特勤官兵C3级人员数量,降低其1年内出现口腔急症的风险,履行疗养储备战斗力的职能使命。所以充分发挥特勤疗养口腔健康的促进作用对维护特勤官兵战斗力、完善我军口腔卫勤体系有重要意义。

Objective To evaluate the role of transformation development of dental medical support of special service recuperation in promoting the oral health of the soldiers and provide a reference for the improvement of the oral health system of the military.Methods The dental examination results and treatment records of the special servicemen who were admitted to Qingdao Special Servicemen Recuperation Center of PLA Navy from January to December 2019 were retrospectively analyzed.The servicemen with different examination results and treatment records were divided into group T(traditional security),group P(recuperation approach),and group C(dental medical support by readiness classification)according to the support modes.The consultation rate and the proportion of personnel with different dental readiness classification on admission and at discharge were compared among the three groups based on the dental readiness classification standard of the US Army.Results The consultation rate in group C and group P were 40.54%and 43.43%,respectively,which were significantly higher than that in group T(18.72%)(P<0.05).On admission,the proportion of personnel with dental readiness classified as C1,C2,and C3 was 9.97%,38.03%,and 52.00%,respectively;the three subgroups showed no significant difference in the proportion of personnel with different dental readiness classification(all P>0.05).At discharge,the proportion of personnel with dental readiness classified with C3 was 38.81%,which was markedly lower than that in group T(47.92%)and group P(45.87%)(P<0.05).There was no statistical difference between group T and group P(P>0.05).Conclusion Compared with the traditional security mode,the recuperation approach can effectively improve the consultation rate of oral diseases among the special servicemen during the recuperation.On this basis,applying dental readiness classification-based security allows for a targeted reduction of the number of special servicemen at C3 at discharge and decreased risk of visiting the emergency department of stomatology within one year,which makes it possible for the special servicemen to perform the function and mission of reserving fighting capacity during the recuperation.Therefore,it is of great significance to give full play to the promoting role of dental medical support during special service recuperation in maintaining the fighting capacity of the special servicemen and improving the oral health system of the military.